PROTECTING YOU FOR 172 YEARS, AND COUNTING. We paid out over R4 billion in claims in 2016.
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1 PROTECTING YOU FOR 172 YEARS, AND COUNTING. We paid out over R4 billion in claims in 2016.
2 Life is full of adventures, and we re here to protect you through them. GREENLIGHT risk cover is your safety net when life goes the unplanned way. In 2016, we paid over R4 billion in claims to make sure that our customers and their families are financially protected against death, disability and severe illness. Now you can go ahead and plan your next exciting adventure, and we ll take care of your financial plans. With great expertise, backed by 172 years of wisdom, you can be sure that we ll be there for you when life takes a detour. DEATH COVER SEVERE ILLNESS COVER DISABILITY COVER Connective Tissue Disorders
3 GREENLIGHT 2016 CLAIMS STATS SUMMARY CLAIMS PAID Death cover Disability cover Severe illness and physical impairment cover Retrenchment cover TOTAL CLAIMS PAID R 3.08 billion R 372 million R 566 million R 9 million R 4.03 billion WE PAID R16 million IN CLAIMS EACH WORKING DAY PAYOUT RATIO - 96% Death cover Disability income cover Disability lump sum cover Severe illness cover 99% 93% 75% 82% How we calculate payout ratios for our underwritten benefits: We calculated claim payout ratios based on valid claims received. We excluded invalid claims; these are claims that were submitted under an incorrect benefit (i.e. a disability claim for a fractured arm under a death benefit), or where the benefit was paid up or cancelled before the claim event occurred.
4 GENDER STATS CAUSES OF CLAIMS PAID Cancer and tumours Other* Cardiovascular disorders Trauma and lifestyle 39% 17% 13% 12% Average age: 56 Youngest: 20 Oldest: 91 Average age: 58 Youngest: 19 Oldest: 93 Central nervous system disorders Musculoskeletal disorders 9% 7% MALE: 57% FEMALE: 43% Respiratory system disorders 3% 100% WHY WE DIDN T PAY 4% OF CLAIMS Natural, Digestive system disorders, Connective tissue disorders, Urinary system disorders, Sensory and communication disorders, Psychiatric disorders, Blood disorders, Endocrine disorders, Child benefits, Systemic disorders, HIV/ AIDS, Dermatological disorders Benefit definition not met Non disclosure General exclusion Suicide exclusion Underwriting exclusion Fraud 53% 17% 17% 7% 5% 1% 100%
5 DEATH CLAIMS OVERALL PAYOUT RATIO 99% We paid R3.08 billion in death claims in 2016
6 DEATH CLAIMS Death payout ratio Total death claims paid Terminal Illness 99% R3,08 billion R 74 million CAUSES OF CLAIMS PAID 25% Cancer & Tumours 24% Cardiovascular Disorders 18% Accidental Death 16% Other* 10% Respiratory System Disorders 7% Central Nervous System Disorders Digestive system disorders, Urinary system disorders, Blood disorders, Natural, Endocrine disorders, Systemic disorders, Connective tissue disorders, HIV/AIDS, Dermatological disorders
7 ACCIDENTAL DEATH CLAIMS Motor vehicle accident Shooting accident Crime and violence Accident outside the home Drowning Aeroplane accident Accident in the home Other* 59% 14% 10% 6% 4% 3% 2% 2% 100% Fraud contributed 4% to declined claims in 2016, decreasing from 19% in 2015 Burns, Multiple injuries, Alcohol abuse, Electrocution, Overdose WHY WE DIDN T PAY 1% OF DEATH CLAIMS Non disclosure Suicide exclusion Benefit definition not met Fraud General exclusion 68% 19% 5% 4% 4% 100%
8 GENDER STATS MALE - 67% FEMALE - 33% Average Age: 61 Youngest: 20 Oldest: 91 Average Age: 61 Youngest: 22 Oldest: 93 Cardiovascular diseases BIGGEST CAUSE OF DEATH CLAIMS PER GENDER Cancer and tumours
9 DISABILITY CLAIMS OVERALL PAYOUT RATIO 84% We paid R372 million in disability claims in 2016
10 DISABILITY CLAIMS Total disability payout ratio Disability income ratio Disability lump sum ratio Total disability claims paid 84% 93% 75% R 372 million WHY WE DIDN T PAY 16% OF DISABILITY CLAIMS Benefit definition not met Non disclosure Underwriting exclusion General exclusion 65% 19% 8% 8% 100%
11 GENDER STATS - TOTAL DISABILITY CLAIMS MALE - 61% AGE FACT: 49% of disability income claims were for those younger than age 45 FEMALE - 39% Average Age 48 Average Age 42 Youngest 22 Youngest 19 Oldest 65 Oldest 64 BIGGEST CAUSE OF TOTAL DISABILITY CLAIMS: Musculoskeletal disorders 33% Central nervous system disorders 16%
12 DISABILITY INCOME CAUSES OF CLAIMS PAID 45% 18% 15% 10% 7% 5% Musculoskeletal disorders Other* Central Nervous System Disorders Cancer and Tumours Connective Tissue Disorders Urinary System Disorders Cardiovascular disorders, Digestive system disorders, Psychiatric disorders, Sensory and communication disorders, Trauma and lifestyle, Endocrine disorders
13 DISABILITY LUMP SUM CAUSES OF CLAIMS PAID Central nervous system disorders 22% 5% Trauma and lifestyle, Child benefits, Respiratory system disorders, Digestive system disorders, Dermatological disorders, Endocrine disorders, Urinary system disorders Musculoskeletal disorders 20% Cancer and tumours 15% Other* 15% Psychiatric disorders Sensory and communication disorders 10% 8% Connective Tissue Disorders Cardiovascular disorders Connective tissue disorders 5% 5%
14 SEVERE ILLNESS CLAIMS OVERALL PAYOUT RATIO 82% We paid R566 million in severe illness claims in 2016
15 THE BIG 4 ILLNESSES CANCER 64% 81% OF ALL SEVERE ILLNESS CLAIMS WERE FOR THE BIG 4 HEART ATTACK 17% STROKE 8% CABG* 11% *Coronary artery bypass graft
16 CAUSES OF CLAIMS PAID Cancer and tumours Cardiovascular disorders Central nervous system disorders Other* Respiratory system disorders Connective tissue disorders 52% 27% 12% 5% 2% 2% 100% We paid a lifestyle enhancer claim to a 28 year old, which amounted to a 200% pay out of his cover amount 98% of all severe illness claims in 2016 were for 100% events Trauma and lifestyle, Sensory and communication disorders, Urinary system disorders, Musculoskeletal disorders, Endocrine disorders, Digestive system disorders, HIV/AIDS, Child benefits WHY WE DIDN T PAY 18% OF SEVERE ILLNESS CLAIMS Benefit definition not met General exclusion Non disclosure Underwriting exclusion 58% 30% 9% 3% 100%
17 GENDER STATS MALE - 56% FEMALE - 44% Average Age: 52 Youngest: 22 Oldest: 74 Average Age: 50 Youngest: 19 Oldest: 72 Biggest cause of claims for males Cancer & tumours - 40% Cardiovascular disorders - 39% Biggest cause of claims for females Cancer & tumours - 67% Cardiovascular disorders - 12%
18 TOTAL CLAIMS ACROSS OLD MUTUAL R9.28 billion Sunday Times Top Brands Award st in the long-term Business to Consumer category and 1st in the long-term business to business category Top employer in the Financial Services and Insurance industry in South Africa 2017, for 6 years in a row Ask Afrika Icon Brands Survey Winner of the long-term insurance category 2016/2017 WE PAID R1.1m IN TOTAL CLAIMS EVERY HOUR Underwritten benefits Corporate Non-underwritten benefits R 4.03 billion R 3.53 billion R 1.72 billion
19 Planning is an important part of every successful and exciting adventure. Don t go through life without a financial plan. Get great advice from Old Mutual to make sure that you are prepared for life s unplanned events. Speak to your Old Mutual financial adviser or your broker for more information about Old Mutual s claims statistics, or call , or visit Today is the day. Get great financial advice. Old Mutual is a Licensed Financial Services Provider
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